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经嵌顿性左腹股沟疝用Permacol补片修补后行腹腔镜乙状结肠癌根治性前切除术并经此切口取出标本。

A laparoscopic high anterior resection for sigmoid cancer with extraction through incarcerated left inguinal hernia repaired with Permacol mesh.

作者信息

Carr William Reginald Joseph, O'Dair Graham

机构信息

Northern Deanary, Durham, UK.

出版信息

BMJ Case Rep. 2012 Sep 21;2012:bcr0220125788. doi: 10.1136/bcr.02.2012.5788.

Abstract

A 65-year-old man presented to the general surgical outpatients with an incarcerated left inguinal hernia. Initial investigations revealed an iron deficiency anaemia that was investigated with a colonoscopy and gastroscopy. This revealed a sigmoid cancer and the staging CT scan confirmed a tumour incarcerated in the sac of the left inguinal hernia. We proceeded with a laparoscopic high anterior resection using the inguinal hernia as the extraction site. The hernia was repaired using Permacol mesh. No postoperative complications occurred.

摘要

一名65岁男性因左侧腹股沟嵌顿疝就诊于普通外科门诊。初步检查发现缺铁性贫血,遂进行结肠镜和胃镜检查。检查发现乙状结肠癌,分期CT扫描证实肿瘤嵌顿在左侧腹股沟疝囊内。我们以腹股沟疝为切口部位进行了腹腔镜高位前切除术。使用Permacol补片修补疝。术后未发生并发症。

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本文引用的文献

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Tumor seeding following laparoscopy: international survey.腹腔镜检查后的肿瘤种植:国际调查
World J Surg. 1999 Oct;23(10):989-95; discussion 996-7. doi: 10.1007/s002689900613.

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